| NPI | 1184616617 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-08-19 |
| Last Updated | 2024-03-19 |
| Authorized Official | Felicia Davis Credentialing Phone: 2027974428 |
| Mailing Address | 1377 R St Nw Washington, DC 20009-6293 United States Phone: (202) 745-7000 | Fax: (202) 797-3504 📍 View Map |
| Primary Practice Address | 1525 14th St Nw Washington, DC 20005-3706 United States Phone: (202) 745-7000 | Fax: (202) 797-3504 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | DC | 022385400 | - |
| MEDICAID | DC | 034298100 | - |
| MEDICAID | DC | 038798600 | - |
| MEDICAID | DC | 038947600 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 261Q00000X – Clinic/Center | - | - |
| No | 261QC1500X – Clinic/Center, Community Health | DC | MD33659 |
| No | 261QC1500X – Clinic/Center, Community Health | - | - |
| No | 261QD0000X – Clinic/Center, Dental | - | - |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | - | - |
| No | 261QM0801X – Clinic/Center, Mental Health (Including Community Mental Health Center) | - | - |
| No | 261QM0850X – Clinic/Center, Adult Mental Health | - | - |
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About NPI 1184616617
Whitman-Walker Clinic, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1184616617. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Washington, DC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184616617?
NPI 1184616617 belongs to Whitman-Walker Clinic, Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in Washington, DC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184616617 active?
The current status of NPI 1184616617 in the NPPES registry is Active. The record was last updated on 2024-03-19.
What specialty is NPI 1184616617?
NPI 1184616617 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184616617?
You can verify NPI 1184616617 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184616617?
The primary practice address on file for NPI 1184616617 is 1525 14th St Nw, Washington, DC 20005-3706. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184616617 issued?
NPI 1184616617 was first issued (enumerated) on 2005-08-19. The NPPES record was last updated on 2024-03-19.
Practice Location Map
Whitman-Walker Clinic, Inc is located at 1525 14th St Nw, Washington, DC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Whitman-Walker Clinic, Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184616617. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Community Health | MD33659 | DC |